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  • Accepted Manuscript_Contraception

    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Women's Reproductive Health on 02/08/2018, available online: https://www.tandfonline.com/doi/full/10.1080/23293691.2018.1463737

    Accepted author manuscript, 827 KB, PDF document

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License


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Contraceptive Use among Women who Inject Drugs: Motivators Barriers and Unmet Needs

Research output: Contribution to journalJournal article

  • Gitau Mburu
  • James Ndimbii
  • Sylvia Ayon
  • Onesmus Mlewa
  • Mike Mbizvo
  • Cecilia Kihara
  • Allan Ragi
<mark>Journal publication date</mark>2018
<mark>Journal</mark>Womens Reproductive Health
Issue number2
Number of pages18
Pages (from-to)99-116
Publication statusPublished
Early online date2/08/18
Original languageEnglish


We explored contraceptive use among 45 women who inject drugs in coastal Kenya. Overall, 29% were using contraceptives, motivated by a fear of unplanned pregnancy, a desire to shield children from the difficulties of drug use, the need to prevent HIV and other sexually transmitted infections, encouragement from health providers and outreach workers, or because they had achieved the desired number of children. However, 69% were not using contraceptives. Barriers to use included current pregnancy intentions, perceived infertility due to drug-induced amenorrhea, side effects, intimate partners’ influence, lack of information, complex health care appointments, and transportation costs. Rights-based integration of sexual and reproductive health into harm reduction services for women who inject drugs is required to minimize unmet contraception needs.